MINNESOTA Department of Revenue
Corporate Franchise Tax 1998
M4
Attachment #1
For calendar year 1998 or fiscal year beginning _________________________, 1998, ending ______________________, 19 _______.
Minnesota ID number
FEIN
Corporation / designated filer (must have nexus with Minnesota)
—
Street
Are you filing a combined return?
yes
no
Is this your last C-- Corporation return? If yes check below.
City
County
State
ZIP code
Withdrawn
Dissolved
Merged
S-Corp Election
Business Activity Code (from federal)
Former name if changed since 1997 return
Check all that apply
Federal consolidated common parent name (if different)
Federal ID number
This corporation is:
a co-op
in bankruptcy
Has a federal examination been finalized? (list years)
Report changes to federal income tax within 180 days of final determination.
Is a federal examination now in progress? (list years)
If there is a change in tax it must be reported on Form M-4X.
Tax years and expiration date(s) of federal waivers:
1 Minnesota tax liability (from M4-T line 21) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Minnesota Endangered Resource Partnership Donation (see instructions page 5) . . . . . . . .
2
3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Payments and Credits
4 Enterprise zone credit (attach Schedule EPC) . . . . . . . . . . . . . . . . . . . 4
5 Amount credited from your 1997 return . . . . . . . . . . . . . . . . . . . . . . 5
6 1998 Corporate estimated tax payments . . . . . . . . . . . . . . . . . . . . . 6
7 Form PV-80 extension payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Add lines 4 through 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9 Subtract line 8 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 Penalty (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Interest (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Additional charge for underpayment of estimated tax (attach Schedule EST) . . . . . . . . . . . . . . . 12
13 Add lines 9-12 (If zero or more, enter on line 14. If less than zero, enter on line 15) . . . . . . . . . 13
14 AMOUNT DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Payment being made with this return by:
Electronic funds transfer
Check
Make payable to: MN Dept. of Revenue
15 OVERPAYMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 Amount of line 15 to be credited to your 1999 estimated tax . . . . . . 16
17 Amount of line 15 to be refunded . . . . . . . . . . . . . . . . . . . . . . . . . 17
I declare that this return is correct and complete to the best of my knowledge and belief.
Authorized signature
Title
Date
Daytime phone
I authorize the MN
Signature of preparer
Minnesota ID number
Date
Daytime phone
Dept. of Revenue to
discuss this tax return with
Person within the corporation to contact concerning this return:
the preparer.
Name (please print)
Title
Daytime phone
Attach a copy of your federal return, including schedules, as filed with the IRS.
Mail to: MN Franchise Tax, Mail Station 1250, Saint Paul, MN 55145 -1250
Stock No. 4098010
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